| NPI | 1972967602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01091677A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019036382) |
| 208M00000X Hospitalist (Licence: MO 2019036382) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-01-05 |